| NPI | 1336687755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9332405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9332405) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL 9332405) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9332405) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL 9332405) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-04-12 |